<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="row" id="sale">
        <div class="col-md-12">
            <div class="panel panel-default">
                <div class="panel-heading">意见反馈</div>
                <div class="panel-body">

                    <div class="form-group">
                        <label class="control-label col-xs-12 col-sm-2">{:__('反馈内容')}:</label>
                        <div class="col-xs-12 col-sm-8">
                            <textarea name="row[content]" data-rule="required" class="form-control" rows="8" placeholder="输入公司描述内容...（控制在200字内）"></textarea>
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="control-label col-xs-12 col-sm-2">{:__('联系方式')}:</label>
                        <div class="col-xs-12 col-sm-8">
                            <input name="row[contact]" class="form-control" data-rule="联系方式:required;" maxlength="50" placeholder="请填写您的联系方式，以便我们及时回复" />
                        </div>
                    </div>
                    <div class="form-group">
                        <label class="control-label col-xs-12 col-sm-2">{:__('展示标签')}:</label>
                        <div class="col-xs-12 col-sm-8">

                            <div class="radio">
                                {foreach name="$feedback_reasons" item="vo"}
                                <label for="row[reason]-{$key|htmlentities}"><input id="row[reason]-{$key|htmlentities}" name="row[reason]" type="radio" value="{$vo|htmlentities}" /> {$vo|htmlentities}</label>
                                {/foreach}
                            </div>

                        </div>
                    </div>

                </div>
            </div>
        </div>
    </div>

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>